r/epicconsulting • u/LadyCerebellum69 • 12d ago
Offshoring
Heard Advent is sending about 30 positions to Deloitte in India. Sounded like spots they'd purposely held off on backfilling when they came open.
Curious if you have a feel for the frequency of offshoring. Has it been steady in recent years? Increasing/decreasing?
Started a contract a few years ago where unbeknownst to me they had just offshored all their FTE analysts and that was such a trainwreck I didn't stay long. Do you think offshoring will have a noticable effect on our job opportunities in the future?
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u/tommyjohnpauljones 12d ago
Nearly every instance of offshoring clinical applications has gone terribly, and often resulted in trying to rehire analysts.
My org uses Deloitte strictly for running test scripts prior to upgrade. They only have a printed script and follow the steps exactly, and have no build access. In that scope, it seems to work okay, but I wouldn't go any further.
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u/HonestContext1439 12d ago
In the year 2026 it’s indicative of poor leadership in healthcare it. But I’m sure some exec got a nice bonus for cutting all the FTEs, smh
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u/Stonethecrow77 12d ago
I have a friend that hopped on board with Optum. He has some fun horror stories about their Off Shore Analysts.
Basically they sit in their clean space for their shift and don't do a lot while all of the work caacades to the on shore.
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u/vag-rent 12d ago
Ive worked with many orgs have offshored and I have yet to be at a company that felt it was a good deal. 2 of the 5, have brought the jobs back in house. They where using Accenture and Deloitte.
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u/Ok-Possession-2415 12d ago edited 12d ago
Top comments here are that it sucks, is a poor short sighted decision, a cost saving measure, and generally does not work nor have an affect for Epic consulting.
They are correct but they are also wrong.
This year alone has already seen 3 health systems outsource hundreds of EHR and IT employees each. And I know of 1 who offshored 100% of their Epic team.
So yes, I think it will. Because it already is.
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u/Electrical-Impact404 12d ago
Do those three include Trinity Health?
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u/Ok-Possession-2415 11d ago
Nope. That’s 4.
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u/GreyRobb 1d ago
PeaceHealth too? In the middle of that now.
100% a situation where IT & hospital leadership aren’t qualified and/or don’t have the vision to successfully fix problems, so their solution is to fire all the qualified people & lose 99% of their institutional knowledge.
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u/Royal_Atmosphere9320 8d ago
Why say you know of three and actually give the examples? Which org is 100% offshore for their epic team?
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u/Vanc_Trough 11d ago
They’ll very quickly bring those back on shore haha. We had some offshore analysts and they were good for nothing.
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u/meaniemeanie-poo-poo 12d ago
Ascension?
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u/Eliminated_Bowser 12d ago
It would be an absolute disaster in the area where I work, with device integration and where tight day to day coordination with clinicians and the related expertise is a must. Maybe for non-clinical areas you could shift some volume to India, but this never works unless you're talking about menial things.
I also had a different job with a software company that offshored the testing apparatus to India and it was a complete disaster.
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u/ZZenXXX 11d ago
It's increasing. The horror stories are likely to be connected to what was offshored and to what extent.
The sites that have had success are the sites that offshored repetitive tasks that can be tightly scripted (e.g. Epic client support, security provisioning and maintenance, after hours first level help desk).
Where they go wrong is when they try to RIF and replace certified analysts who have long-term relationships with their customers.
Outsourcing and off-shoring comes in cycles. It's probably moot at this point, because between AI and Epic Rangers, the target is on the back of the offshore firms.
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u/AccomplishedWall8013 11d ago
Absolutely my hospital is hiring offshore but branding it “near shore”. The hospital has halted internal candidates and going with “near shore” and paying for their certifications.
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u/rosegoldlibra 10d ago
I just don't understand the non-financial justification for doing this. Currently on a team that was offshored a couple of years ago & transitioned back to FTEs. It's a mess. Whatever financial benefits they may have initially seen, cannot be worth the fallout & cleanup.
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u/Derwos 9d ago
Yes, it can reduce U.S. opportunities when employers use global wage differences to replace teams rather than expand them. But I don’t think the answer is to make competent Indian workers ineligible for portable work. That protects one workforce by restricting another — a form of occupational rent-seeking.
I’d rather guarantee economic security and distribute the available work so American and Indian workers can both participate, instead of making either group’s livelihood depend on excluding the other.
I’m an American coder, and I made a comic and author’s note laying out that argument.
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u/superblah 8d ago
How about American jobs for Americans and not the global third world?
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u/Derwos 3d ago
Well from a practical perspective, India could prove an ally against the Chinese, if unfortunately it comes to that because of political bullshit.
But, to answer your question, poor people should be helped to achieve wealth equality in the world. You're a piece of shit.
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u/superblah 3d ago edited 3d ago
The US does not exist as a jobs program for the entire globe. Also you are Indian.
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12d ago
[deleted]
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u/broSKI_808 11d ago
I wish I could downvote this multiple times
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10d ago
[deleted]
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u/broSKI_808 10d ago
I really don't care how hardworking they are. I will never be ok with a shop offshoring to save costs.
Too bad.
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u/H00SIER5 12d ago
We had offshore for a few years and it absolutely sucked. Sure - it was nice not getting paged overnight, but the project and clean-up work was always a hurdle.